Taylor, Randie Jill
Taylor, Randie Jill is an sole proprietor health care provider with primary practice located at 2780 Middle Country Rd Suite 209, Lake Grove NY 11755-2124. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Taylor, Randie Jill can be contacted via phone (631) 471-0688.Contact Information
Primary practice address
2780 Middle Country Rd Suite 209
Lake Grove NY 11755-2124
Phone: (631) 471-0688
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P57441 | New York |
Profile Details
| NPI number | 1821286279 |
|---|---|
| LBN Legal business name | Taylor, Randie Jill |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2007 |
| Last updated | Oct 11th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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